Advanced Practice Registered Nurses / Physician Assistants
If interested in this opportunity, please visit www.mghcareers.org and apply for JOB ID# 3083072
The Nurse Midwife is responsible for safe and personalized care to patients in the antepartum, intrapartum, postpartum, and routine GYN settings according to MGH Midwifery Guidelines. The midwifery guidelines are developed within the context of the Maternal Fetal Medicine Program, MGH Obstetrics and Gynecology Service, and the CRICO Guidelines established for the MGH Obstetrical Service. The Nurse Midwife reports directly to the chief of the Nurse Midwifery Program.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
PATIENT CARE MANAGEMENT:
1.0 Provide and maintain midwifery care, which is effective and responsible to the needs of women from adolescence (13-17 years) through senior adult (55-64) years.
1.1 Provide care to all patients desirous of midwifery care and to be responsible to the needs of the community.
1.2 Contribute to the development of guidelines for the midwifery service.
1.3 Implement the policies and procedures regarding delivery of patient care.
1.4 Collaborate with nurses, certified nurse practitioners, physicians, and other health care professionals to assess and meet the health care needs of the patients.
1.5 Meet with the Chief Nurse Midwife to identify, address, and resolve patient care issues.
1.6 Participate on committees to formulate clinical improvement initiatives and participates in the QA program.
1.7 Initiate and work on research issues which are applicable to clinical practice.
1.8 Have admission and discharge responsibilities for the midwifery caseload of patients.
1.9 Provide care and management of normal labor patients, including delivery; requiring twenty-four hour midwifery coverage.
1.10 Provide care and management of post partum patients, including post operative patients.
1.11 Consult with a physician as needed and co-manages certain patients with the physician as defined by the midwifery guidelines.
1.12 Provide care and triage of all obstetrical patients both urgent and non-urgent. Consult with the attending MD on duty, as need.
1.13 Provide telephone triage services to obstetrical patients during non-office hours.
1.14 Engage in patient education at every visit.
1.15 Provide routine GYN care to the midwifery patient caseload.
1.16 Engages in the department’s clinical teaching of nurse midwifery, medical students and physician residents.
Demonstrate and maintain clinical competence.
Identify learning needs and goals, and design a plan to meet them.
Maintain necessary clinical skills through self-directed clinical practice.
Be available as a resource where expertise may be required.
Maintains current licensure and certifications required to practice.
Promote the concept and practice of midwifery as a component of perinatal medicine through active involvement in research projects. Participate in academic activities including basic continuing medical, midwifery, nursing, and public health education.
Recognize and meet the needs of under-served women through active involvement in community programs which promote health care for women and their families.
A Per Diem certified nurse midwife will fulfill all the requirements of a staff midwife. See addendum for per diems work expectations.
Addendum: Per diem CNM: Work Expectations
Work expectations for employment in this role:
Works minimum 2-3 shifts/month in the ambulatory office or Yawkey 4 triage unit, inpatient L&D, L&D triage, postpartum units, and telephone triage.
Contributes coverage for medical leave of absence, sick call coverage and emergent needs of the service
Coverage shifts: 12 hour days or nights, 10-hour triage, 8 hour ambulatory sessions, 8 or 4-hour postpartum rounding
Summer Vacation Coverage: added 24-36 hours in one week in July or August.
Participates in the coverage of holiday weekends
Tier one Christmas or Thanksgiving: works 1-2 shifts in a 4 day/night block
Tier two: New Years, Memorial Day, 4th of July, Labor Day, works 1-2 shifts
The per diem midwife will follow the hospital TIME KEEPING policy
The per diem midwife will utilize the time clock and eform document for compensation
Follows the Time Policy and Procedures set forth from the CNM division
CRICO: Meets all mandatory requirements for malpractice insurance coverage on an annual basis
Attends four QA faculty meetings (4th Friday of the month).
OB Safety Drills on L&D unit
K-2 fetal monitoring training (March and October)
Department lead simulation training- yearly
Hospital/Department- Meets all mandatory hospital/department required training and competencies
Completes MGH Annual Clinical Required Training Fiscal Year (Health Stream/Dec)
PPD screening via occupational health
American Midwifery Certification Board Certificate
Certified Nurse Midwife license in Massachusetts
State controlled substance certificate
Federal DEA Number
Neonatal Resuscitation Provider
American Heart Association Provider
Maintains continuing education requirements for American Midwifery Certification Board and state licensure
Work expectations were discussed and agreed upon.
Massachusetts General Hospital is an Equal Opportunity Employer.By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.
Graduation from an educational program accredited by the Accreditation Commission for Midwifery and Education (ACME).
Successful completion of the certifying examination by the American Midwifery Certification Board (AMCB).
Enrollment in the Certification Maintenance Program by the AMCB.
Licensure in the Commonwealth of Massachusetts as a Certified Nurse Midwife (CNM)
Minimum one year experience required - Three years experience as a Nurse Midwife preferred.
Skills in interpersonal communication, teamwork, research and organization required.
Language skills preferred.
Internal Number: 3083072
About Massachusetts General Hospital
Founded in 1811, Massachusetts General Hospital is the third oldest general hospital in the United States and the oldest and largest in New England. The 900-plus bed medical center offers sophisticated diagnostic and therapeutic care in virtually every specialty and subspecialty of medicine and surgery. Mass General conducts the largest hospital-based research program in the United States and it is the oldest and largest teaching hospital of Harvard Medical School. Mass General is the largest nongovernmental employer in the city of Boston, with more than 26,000 employees.
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American College of Nurse-Midwives. 8403 Colesville Rd, Suite 1550 | Silver Spring MD 20910 Phone: 240-485-1800 | Fax: 240-485-1818